Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CAITLIN BLAKE, CTNC, CHP, CHC, LLC
Active Sole ProprietorNutrition, Education · SOUTHBURY, CT
Registration Details
- NPI Number
- 1053895714
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 19, 2018 (7.6274895642445 yrs)
- Last Updated
- Sep 19, 2018
- Sole Proprietor
- Yes
Practice Information
- Address
-
220 MAIN ST S STE 207SOUTHBURY, CT, 064882275Browse CT providers · Browse ZIP 06488
- Phone
- 8604915059
- Primary Specialty
-
Nutrition, Education
133NN1002X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.